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All cardiac-surgery Cases

Thoracic outlet syndrome on x-ray

pt transferred to our hospital after being diagnosed with glenoid fossa fx. i don't see it. do you? no other ...


Medical resources

medicine is a-changing! I enjoy on line learning, having info at my fingertips and interacting with colleagues of every age ...


Choosing Wisely Canada

Resident Doctors of Canada (RDoC) has joined Choosing Wisely Canada, a national clinician led campaign to reduce unnecessary care. The ...


Breast cancer with mets

50yo F Dx with Breast Ca per needle bx. PETCT to complete staging. Patient opt'ed for lumpectomy only. No Chemo/hormone/ ...


Second degree AV block on ECG

40yof presented to ER with sudden onset chest pain. Had pacemaker inserted at age 10 in Brazil for unknown reason ...


Shiitake dermatitis

50 yoM presents w/ mildly pruritic rash. No environmental changes. Was at an Asian food festival a few days ago. ...


Heart transplant

#Heart #Transplantation



50-something M patient to ED with ROSC after arrest secondary to house fire. Cyanokit is given to bind cyanide produced ...


Titanium helical fasteners on x-ray

Can anyone kindly identify the small metal coils seen in this 87 year old gentlemans abdomen. He is delirious so ...


infiltrative tumor involving right chest and thoracic spine on T1 axial MRI

41yoM presented to neurosurgery after visiting the ED for cough and 3-4 year history of right-sided chest pain. T1 axial ...


Flaccid triphalangeal thumb in Holt Oram syndrome

7 week old with typical signs and symptoms of which syndrome?


MRI of cutaneous infantile hemangiomas in the liver

Axial FS T2-weighted MR image through the abdomen of this patient shows innumerable round small to moderate sized hepatic lesions ...


Bilateral swelling of the jaw in cherubism

14 year old male.Condition started since he was a toddler and progressively increasing. Differentials ? Students give it a try


Target lesions of erythema migrans in lyme disease

Child comes in after camping in the Desert wth these rashes. Went to ER and received antihistamines and prednisone the ...


Healthy fresh-looking lungs pre-transplantation

ever wonder what a fresh set of lungs looks like???


congenital pulmonary hypoplasia

#Pulmonary-hypoplasia in a 22-week-old infant, delivered via spontaneous vaginal delivery for non-reassuring fetal heart tones, but stillborn on delivery. Note ...


Tinea corporis on chest

11 year old boy whose cat ate a mouse 4 days ago, the cat died the same day, and the ...


aortic dissection and abscess leading to finding of an invasive adenocarcinoma

52yoM presented to the ED with a 2-day history of dyspnea and chest pain that radiated to the back, worsened ...


Painfull swelling of the 2nd digit

89 year old female with known PVD and rest pain in the 2nd digit, presents with worsening pain associated with ...



Teenage male with severe #Scoliosis and CP. Worsening respiratory status at baseline. Images 1-4 preop. Image 5 after halo and ...


acute on chronic subdural hematoma on CT brain

Vomiting,coma. Anticoagulation with Warfarin. INR 4,0


post-mastectomy lymphedema

Female, 60 years old. Ten years ago she underwent a mastectomy to treat breast cancer. Two weeks after surgery she ...


Open reduction internal fixation of fibula fracture with plate

Open reduction internal fixation of distal #fibula #fracture using #Arthrex #titanium plate and screws. 50 year old patient stated to ...


Normal heart and lungs of a newborn

#Heart and #Lungs from a term baby who died shortly after delivery. Autopsy revealed #Necrotizing-enterocolitis to be the cause of ...


Radiograph of two retained bullets in chest

17M. Shot 4 times with retention of two bullets. 3 to his torso and one to his right ankle. Drug ...


left-sided hydronephrosis on USG after left ureteric calculi retrieval

This 42-year-old male presents for follow-up four weeks after ureteroscopy and stone retrieval for a left ureteric calculus and resultant ...


stasis dermatitis

Female, 87 years old. She presents #Ecchymoses on right leg. The #hipostaticpurpura is petechiaes and ecchymoses that arise on legs ...


ECG after recent coronary artery bypass surgery from NSTEMI

54 years old male, PMH of uncontrolled #Hypertension and #Diabetes-mellitus, on 2nd post-operative day of #Coronary-artery-bypass-surgery. Asymptomatic, stable hemodynamics, falling ...


lymphoepithelioma like thymic carcinoma in histopathology

this is are H&E slides of a cell block from the pleural fluid of a 61/F presenting with masses in ...


Abdominal wall hematoma on CT abdomen without any cause except coughing and senility

70 YO female patient. She has abdominal pain which started while she was coughing. She has HT, Diabetes. She doesn't ...

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